腱板広範囲断裂に対するＤｅｂｅｙｒｅ‐Ｐａｔｔｅ変法の長期臨床成績

概要

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Several methods for massive rotator cuff tear have been developed. In our university, the cases of moderate cuff tear underwent McLaughlin procedure, and the cases of massive rotator cuff tear underwent Debeyre-Patte procedure. In this study, the clinical results in both groups were evaluated by JOA score. We examined 38 shoulders of 38 patients(28 male and 10 female, the average age was 59 years old)who underwent rotator cuff repair from in 1996 to 2000. The mean follow-up period was 13.4 years. JOA scores including pain, muscle power, ADL activity and ROM were investigated in the final observation period. In the group of McLaughin procedure, the scores in the pain, muscle power, ADL activity and ROM were 27.6, 8.9, 9.0, 28.0 points respectively. In the group of Debeyre-Patte procedure, the scores were 23.8, 7.6, 8.0, and 24.0 points respectively. Significant statistical difference between them was only found the scores in ROM. The clinical results in both groups were good in the long term follow-up period.